Personal Statement

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well....more

My experience is coupled with genuine concern for my patients. All of my staff is dedicated to your comfort and prompt attention as well.

More about Dr. Samuel Gnanam

Dr. Samuel Gnanam is one of the best Orthopedists in Mogappair East, Chennai. He is currently associated with Mogappair Bone & Joint Clinic in Mogappair East, Chennai. You can book an instant appointment online with Dr. Samuel Gnanam on Lybrate.com.

Lybrate.com has an excellent community of Orthopedists in India. You will find Orthopedists with more than 43 years of experience on Lybrate.com. You can find Orthopedists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Do have proper balanced diet and take ift and ust for pain relief for 12 days followed by strengthening exercise from neuro physiotherapist apply hot and cold water fomentation for thrice a day for 15 minutes duration each time regularly.

Hi I can understand your problem.
Apply cold pack for 20 min. Thrice a day for 5 days. Physiotherapist can teach you exercises to help stretch and strengthen the muscles in your neck and shoulders. Do reply for specific treatment plan.
Wishing you a good health.

Hello, first of all you should know what is backache and by which factors it caused and aggravated. The usual cause of low back pain is the sedentary lifestyle that we lead these days. There is hardly any movement. Walking, running and cycling like activities are also not a part of our daily routine. To add to it, our diet consists more and more of junk food. Fresh fruits, vegetables and high fibre foods are consumed less and less. These daily practices lead to obesity. The increased body weight puts lot of pressure on the spine which has to bear all the extra unwanted weight. The back muscles which are already weak due to lack of exercise and wrong posture are unable to cope with this increased load. This causes pain in the back muscles. Management for back pain:-along with medicines for relieving pain, one needs to identify the cause and correct it. This may require some medicines or some correction in your posture or reducing weight or improving your lifestyle. At the same time, there is a need to work on the local muscle strengthening. Back muscles need to be strengthened so that they can bear the weight of the upper body. For this exercises of the back muscles are very helpful. Regular walking is also very helpful as it is a wholesome exercise of the body, improves blood circulation and helps lose weight. Most importantly if you are overweight then losing weight is an important part of the whole treatment plan. Long term use of painkillers for low back pain is harmful
treatment for back pain:- homoeopathic medicines are very helpful. They not only treat the acute stages but are also used for the treatment of chronic back pain. Selection of the exact remedy depends upon the individual symptoms of the person. So share the complete symptom picture for the proper treatment. In the mean time take arnica 200, 3 drops in the morning and rhus tox. 200, 3 drops at night for 7 days. Take care.

For fever take tablet paracetamol 650 mg and Get your blood checked for cbc, mp , widal , sgpt and urine r/m and revert back to us with reports and take Tablet folvite 5mg once a day for six months and tablet vitamin D3 60000iu once a week for six months

Hi
Thanks for your query. I am Dr Akshay from Fortis Hospital, New Delhi.
There can be issue either with spine due to which you can have symptoms like radiating pain, numbness or burning sensations like you are having.
Also Vitamin D and B12 deficiency can lead to similar symptoms. I need your Vitamin D and B 12 reports so that i can opine further.
Do not hesitate to contact me if you need any further assistance.
Thanks & Regards
Dr Akshay Kumar Saxena

Apply Hot Fomentation twice daily.
Avoid bending in front.
Postural Correction- Sit Tall, Walk Tall.
Extension Exercises x 15 times x twice daily - lying on tummy, take left arm up for 3 seconds, then bring it down, right arm up for 3 seconds, bring down. Bring right leg up, hold for 3 seconds, bring it down. Then right leg up and hold for 3 seconds and bring it down. Repeat twice a day- 10 times. Bhujang Asana – Lie flat on your stomach, keeping the palms out, bend the neck backward, take a deep breath and while holding it for 6 seconds, raise the chest up. Release breath and relax your body. Repeat the exercise 15 times twice daily. Core Strengthening Exercises- Straight Leg Raised With Toes Turned Outward, repeat 10 times, twice a day.
Back Stretching- lie flat, pull one of the knee forward to chest, hold for 3 seconds, then bring the other knee forward to the chest and again hold for 3 seconds. Then pull both knees towards the chest and hold for 3 seconds. Repeat 10 times each exercise twice a day. Do the cat/cow stretch. Get on all fours, with your arms straight and your hands directly under your shoulders; your knees hip-width apart.

Further details of your back pain is needed to give a treatment plan according to diagnosis.
Backache in young age is commonly due to
1. Muscle strain resulting from improper posture.
2. Intervertebral disc bulge or prolapse.
Follow these to get relief.
1. Take anti inflammatory drugs like Ibuprofen round the clock for pain relief
2.Take rest for 3 to 4 days but avoid total bed rest.
4. Do back strengthening and stretching exercises daily once pain is relieved.
5.Apply analgesic cream over back followed by warm fomentation.
6. Keep pillow behind your knees at bedtime. While sleeping on sides keep pillow between knees.
7. Do not bend and lift weights.
8. If back pain is accompanied with radiating leg pain or tingling , numbness or weakness, consult immediately.
If problem persists you will need to undergo MRI of lumbosacral spine.
For further queries consult again.

I suggest you follow the below for your condition:
Take Mag Phos 6x - thrice daily for next 2 weeks and update.
Also do x-ray of the affected area.
Heat and Ice Packs. Heat and/or cold therapy helps relieve most types of low back pain by reducing inflammation. Often patients use ice, but some prefer heat. Both may be used alternately.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi. There can be many reasons for such a feeling, it can be from spine or generalized due to some medical cause for it.
Can you tell me whether you experience any neck pain, is this heaviness actually numbness or something else? I would actually say you consult your general physician or cardiologist if there is no neck issue because then orthopaedic cause will be ruled out. Do not hesitate to contact me if you need any further assistance.

Most probably you are suffering from oa of knee.
Knee surgery-total knee replacement (tkr) is quite safe & gives uniformly good results, in our hands. We have well equipped center in delhi. Do ask for detailed treatment plan. Surgery should be done when patient is still active & will be able to take benefit of surgery.
Do not ignore. It could be beginning of a serious problem.
Kindly show me x rays before a final decision can be taken.
You will be thoroughly investigated before surgery is under taken.
Risk in surgery is less than the risk in crossing road.

Hi thanks for your query and welcome to lybrate. I am Dr. Akshay from fortis hospital, new delhi.
You have mentioned pain in lower back region as your main problem. You are actually very young to have persistent pain. If there is only localized pain in back region with no other associated symptoms like numbness, paresthesias etc, and no systemic symptoms like fever, loss of appetite, loss of weight etc, my advice to you for initial 2-3 weeks will be: - to maintain proper posture of your back while working and sleeping
- if pain is more then you can take a short course of an anti-inflammatory medication like tab etoshine or even tab paracetamol which suits you
- intensive physical therapy initially under supervision of a trained physiotherapist and then to continue at home
- adequate calcium & vitamin d intake if levels are low in body
- ice packs can applied 3-4 times in a day
- analgesic spray for local application like dynapar qps spray can be used and is easily available.
- avoid lifting heavyweight/ acute forward bending in mornings etc in case you are having back pain. If there is no improvement in 2-3 weeks with this conservative management, we will need to evaluate you further in form of dynamic x rays to look for any instability as a cause for pain and some blood investigations to rule out any deficiencies etc. Do not hesitate to contact me if you need any further assistance.

Just for first aid if it is little muscle spasm, just give hot(lukewarm) and cold fomentation thrice a day for 15 minutes duration for three days even after this pain continues do consult specialist physiotherapist or orthopaedician.